Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 2013022891 | FL |
NPI | 1003218751 |
---|---|
Provider Name | Nancy Adrien |
First Address | Miramar, FL 33025-5068 |
Second Address | Boynton Beach, FL 33435-8808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2014 |
Last Update Date | 31/03/2021 |